Rev. 11//2016
THE CITY OF NEW YORK
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Bureau of Environmental Compliance 59-17 Junction Boulevard, 9th Floor, Flushing, New York 11373 Records Control (718) 595–3855
Industrial Work Permit Application Login to DEP online CATS: www.nyc.gov/dep/cats After Login, select the bottom right button “Industrial Work Permits, Inspection Requests (CO), Amendments & Affidavits” You will be directed to the “My Requests” menu tab
To convert an existing Registration to a Work Permit: Click on the dropdown menu for “Select Request Type” as “Industrial Work Permit”. Click the “Create” button. Enter the Application ID (e.g., PA001170 or PB000112 without the ending Alphabet). Click the “Continue” button. Complete the information in each field. Mandatory fields on the request form are marked with an asterisk. (i.e., Owner’s Email Address). Review all the information Under “Fee Information”: Select “Yes” or “No” for both “Is it a government owned property?” and “Fee Waiver” status. • If you’ve selected “Yes”, select the government agency and provide proof. Upload document(s) from the “My Requests” tab. Once completed, click both the “Certification Checkbox” and the “Save” or “Save & Submit” button.
For a New Industrial Work Permit: Click on the dropdown menu for “Select Request Type” as “Industrial Work Permit”. Click the “Create” button. Complete the information in each field. Mandatory fields on the request form are marked with an asterisk. (i.e., Owner’s Email Address). Review all the information. Under “Fee Information”: Select “Yes” or “No” for both “Is it a government owned property?” and “Fee Waiver” status. • If you’ve selected “Yes”, select the government agency and provide proof. Upload document(s) from the “My Requests” tab. Once completed, click both the “Certification Checkbox” and the “Save” or “Save & Submit” button.
To attach documents (PDF only), accessible from the “My Requests” menu: Locate the application number/request ID. Click the PDF icon to attach a file. Click “Add Attachment” (Only PDF files with a filename that is less than 40 characters including spaces can be uploaded.) Once the documents are attached, click the “My Requests” tab on top left corner.
Submit Application and Payment, accessible from the “My Requests” menu: Click the “Submit” icon (last icon in the list with a green forward arrow). Proceed with processing the payment. Detailed steps for payment are provided in the CATS Payment document. The applicant & owner will receive an automated email upon successful submission. For assistance, please call 718-595-3855 or email us at [email protected]
FOR GENERAL INFORMATION, QUESTIONS, AND INQUIRIES: Please visit our website at www.nyc.gov/dep or call 311 Rev. 11//2016
THE CITY OF NEW YORK
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Bureau of Environmental Compliance 59-17 Junction Boulevard, 9th Floor, Flushing, New York 11373 Records Control (718) 595–3855
Industrial Work Permit Application – Checklist
Industrial Work Permit Application – All applicants must complete Part I and one section from the following source categories: Dry Cleaning Machine - Part II Spray Booth or Spray Area - Part III Other Industrial Process (i.e., woodworking, jewelry polishing) - Part IV Combustion Source (Engines, Generators, Dryers, Ovens) – Part V Combined Heat & Power – Part VI
Emission Calculations – Provide all assumptions and sample calculations.
Required Drawings Drawings – are to be drawn to scale on no larger than 11” x 17” and not smaller than 8 ½” x 11”. All submitted drawings must be legible. Equipment Room layout – location and dimensions of equipment, controls, vapor barrier enclosure, exhaust fans, fresh air intake Plot Plan – For the building or lot containing the industrial equipment, indicate property lines, street names, elevation of roof lines above grade, include building zone (i.e.: M-1, M-3), Block and Lot numbers, minimum distance to the nearest receptor and indicate North direction. Identify all emission points with Emission ID number, Application number (PA/PB/PW), heights above roof and grade for all permitted sources.
Additional Documents Manufacturer Specification/Catalogue Cut Sheet for controls and exhaust fan including maximum flowrate of the unit. For Dry Cleaning Machine: • NYS DEC Air Facility Registration. • Copy of DOB and FDNY Permits must be provided for issuance of Certificate of Operation.
FOR GENERAL INFORMATION, QUESTIONS, AND INQUIRIES: Please visit our website at www.nyc.gov/dep or call 311 Rev. 11//2016
THE CITY OF NEW YORK
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Bureau of Environmental Compliance 59-17 Junction Boulevard, 9th Floor, Flushing, New York 11373 Records Control (718) 595–3855
Online Application Form
FOR GENERAL INFORMATION, QUESTIONS, AND INQUIRIES: Please visit our website at www.nyc.gov/dep or call 311 Rev. 11//2016
THE CITY OF NEW YORK
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Bureau of Environmental Compliance 59-17 Junction Boulevard, 9th Floor, Flushing, New York 11373 Records Control (718) 595–3855
FOR GENERAL INFORMATION, QUESTIONS, AND INQUIRIES: Please visit our website at www.nyc.gov/dep or call 311 Rev. 11//2016
THE CITY OF NEW YORK
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Bureau of Environmental Compliance 59-17 Junction Boulevard, 9th Floor, Flushing, New York 11373 Records Control (718) 595–3855
FOR GENERAL INFORMATION, QUESTIONS, AND INQUIRIES: Please visit our website at www.nyc.gov/dep or call 311 Rev. 11//2016
THE CITY OF NEW YORK
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Bureau of Environmental Compliance 59-17 Junction Boulevard, 9th Floor, Flushing, New York 11373 Records Control (718) 595–3855
FOR GENERAL INFORMATION, QUESTIONS, AND INQUIRIES: Please visit our website at www.nyc.gov/dep or call 311 Rev. 11//2016
THE CITY OF NEW YORK
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Bureau of Environmental Compliance 59-17 Junction Boulevard, 9th Floor, Flushing, New York 11373 Records Control (718) 595–3855
FOR GENERAL INFORMATION, QUESTIONS, AND INQUIRIES: Please visit our website at www.nyc.gov/dep or call 311 Rev. 11//2016
THE CITY OF NEW YORK
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Bureau of Environmental Compliance 59-17 Junction Boulevard, 9th Floor, Flushing, New York 11373 Records Control (718) 595–3855
FOR GENERAL INFORMATION, QUESTIONS, AND INQUIRIES: Please visit our website at www.nyc.gov/dep or call 311 Rev. 11//2016
THE CITY OF NEW YORK
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Bureau of Environmental Compliance 59-17 Junction Boulevard, 9th Floor, Flushing, New York 11373 Records Control (718) 595–3855
FOR GENERAL INFORMATION, QUESTIONS, AND INQUIRIES: Please visit our website at www.nyc.gov/dep or call 311 Rev. 11//2016
THE CITY OF NEW YORK
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Bureau of Environmental Compliance 59-17 Junction Boulevard, 9th Floor, Flushing, New York 11373 Records Control (718) 595–3855
FOR GENERAL INFORMATION, QUESTIONS, AND INQUIRIES: Please visit our website at www.nyc.gov/dep or call 311 Rev. 11//2016
THE CITY OF NEW YORK
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Bureau of Environmental Compliance 59-17 Junction Boulevard, 9th Floor, Flushing, New York 11373 Records Control (718) 595–3855
Instructions on Filling Out Form
Cell # Form Field Name Help Text If subject premise has a name which is displayed on the store front 1A Facility Name (If any) sign or is commonly known (e.g. “ABCD” Garden Apartments) indicate such name. If no such name exists, indicate “none”. Select “NEW” if equipment will be housed in a new structure. Select 1B Facility “EXISTING” if equipment will be housed in an existing structure. 1C Facility Location Complete premise address of combustion equipment being filed for. 1C House No. Do not insert any floor no./suite no. 1C Street Address Do not abbreviate street address. 1D Floor / Suite No. (If any) Enter floor number or suite number or room number if available. 1E Borough Select from the dropdown menu. 1F State Enter the State (NY). 1G Block 1H Lot 1I Zip Code If premise identified is part of a housing or commercial complex 1J Building Identification Number (BIN) where buildings have identifying numbers and/or letters, provide same. Identify physical location, by floor number, of combustion equipment 1K Equipment Location within premise (e.g cellar). Select “YES” if equipment is a replacement for equipment that is Is this equipment a replacement for 1L currently certified. Select “NO” if the equipment is not a equipment recently certified? replacement. If this equipment is a replacement for equipment currently certified, please provide the Installation Number of the equipment it is If YES, provide the installation number of the replacing. (Renewal of the existing Certificate of Operation (CO) is 1M equipment it is replacing (PA/PB): required as long as the equipment is operable. The existing CO will be cancelled once we receive a written notification within 20 days that the equipment is dismantled or rendered inoperable.) 1N Is this a legalized source? Indicate whether or not this is a legalized source. 2A Owner’s Name Full legal name of owner of premise. 2B Owner’s Address Owner’s complete mailing address. 2B House No. Do not insert any floor no./suite no. 2B Street Address Do not abbreviate street address. 2C Floor / Suite No. (If any) Enter floor number or suite number or room number if available. 2D Borough / City Enter the borough or city if outside NY. 2E State Enter the State (NY). 2F Zip Code 2G Telephone Enter the primary number of the Owner. 2H Fax Fax number of the Owner.
FOR GENERAL INFORMATION, QUESTIONS, AND INQUIRIES: Please visit our website at www.nyc.gov/dep or call 311 Rev. 11//2016
THE CITY OF NEW YORK
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Bureau of Environmental Compliance 59-17 Junction Boulevard, 9th Floor, Flushing, New York 11373 Records Control (718) 595–3855
Cell # Form Field Name Help Text Email address to facilitate future correspondences and send out 2I Owner’s Email Address renewal reminders. Classification based on type of use. Check only one appropriate box. Example: Hospital owned residence, check residential College owned 2J Facility Classification dormitory, check residential College owned power plant, check utility. Full name of Professional Engineer authorized to file the Industrial 3A Name of P.E or R.A Process Equipment Application Form. 3B NYS License Number New York State Professional Engineer’s or R.A’s License Number. 3C P.E. E mail Address P.E. email address for future correspondence. 3D Telephone Telephone number of the Professional Engineer. 3E Fax Fax number of the Professional Engineer. 3F Company Name Name of the company the Professional Engineer is employed with. 3G P.E. Address Complete business address information of the Professional Engineer. 3G House No. Do not insert any floor no./suite no. 3G Street Address Do not abbreviate street address. 3H City or Borough Enter the borough or city if outside NY. 3I State Enter the State (NY). 3J Zip Code If applicable, provide the full name of the installer authorized to file 3K Name of Installer the Industrial Process Equipment Application Form. 3L NYC Installer License Number New York City Oil Burner Installer License Number. 3M Installer E mail Address Installer email address for future correspondence. 3N Telephone Telephone number of the installer. 3O Fax Fax number of the installer. 3P Company Name Name of the company the installer is employed with. 3Q Installer Address Complete the business address information of the installer. 3Q House No. Do not insert any floor no./suite no. 3Q Street Address Do not abbreviate street address. 3R City or Borough Enter the borough or city if outside NY. 3S State Enter the State (NY) 3T Zip Code If the premise where the equipment is located has tax exemption as 4A Is it a government owned property? per the Department of Finance, then select “YES”. Additionally, provide the DOF tax exemption documentation. 4B Agency Name Select the appropriate agency name. 4C Fee Waiver If fee is waived, select “Yes” 4D Fee Waiver Reason Select or mention detailed fee waiver reason.
FOR GENERAL INFORMATION, QUESTIONS, AND INQUIRIES: Please visit our website at www.nyc.gov/dep or call 311 Rev. 11//2016
THE CITY OF NEW YORK
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Bureau of Environmental Compliance 59-17 Junction Boulevard, 9th Floor, Flushing, New York 11373 Records Control (718) 595–3855
Cell # Form Field Name Help Text
What type of business is being conducted Specify what type of industrial process is being conducted at this 5A at this equipment location? location. If “Other” is selected, specify the type of industrial process. Indicate all sources of emissions that are present at the facility. For What emission sources are present at this example, if an auto body shop has a spray booth equipped with a heater, 5B facility? both the spray booth and the heater should be listed as sources of emissions. If the industrial process is operating in a stand-alone building without 5C Building Type any other occupants (commercial or residential), select “Stand Alone”. If there are other occupants in the building, select “Mixed Use”. If mixed -use, check all boxes that describe If the building is a mixed use building, select all of the boxes that 5D the other types of tenants describe the other tenants. 6A Emission Point ID Provide the emission point ID for this stack. 6B Ground Elevation (ft) The height of the stack from its foundation base (in feet). The distance from the roof of the building to the top of the chimney 6C Height Above Structures (ft) (in feet). The distance from the centerline of the entrance of the combustion 6D Stack Height (ft) gases into the chimney to the top of the chimney (in feet). 6E Inside Diameter (in) Specify inside diameter of chimney outlet (in inches). 6F Exit Velocity (f/s) Chimney gas exit velocity (in feet per second). Chimney gas exit flow rate in actual cubic feet per minute (ACFM). The 6G Exit Flow Rate (ACFM) standard conditions 60°F and 14.6 psi. Specify the exhaust temperature. Typically, this is the room 6H Exit Temperature (degree F) temperature. 6I Fan Manufacturer If an exhaust fan is present, provide the manufacturer’s name. 6J Fan Model Number If an exhaust fan is present, provide the model number. Specify the number of exhaust fans of this make/model present in 6K Number of Units the facility. 6L Total ACFM/Unit Specify the ACFM of each unit. 6M Fan Diameter (in) Indicate the diameter of the fan (in inches). 6N Fan Motor (HP/RPM) Indicate the capacity of the fan (in HP and RPM). Provide the dimensions of the area that is ventilated by the fan. If the fan is attached to an enclosed structure, such as a spray booth or dry 6O Dimensions of Area Ventilated by Fan cleaning unit equipped with a vapor barrier, provide the dimensions of this space. If more than one piece of equipment is exhausted to the stack described Are multiple pieces of equipment 6P above, select “YES”. If only one piece of equipment is exhausted to the exhausted to this stack? stack, select “NO”. If selected “YES” in previous question, list all of the pieces of 6Q If Yes, list all pieces of equipment equipment that are exhausted to the stack.
FOR GENERAL INFORMATION, QUESTIONS, AND INQUIRIES: Please visit our website at www.nyc.gov/dep or call 311 Rev. 11//2016
THE CITY OF NEW YORK
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Bureau of Environmental Compliance 59-17 Junction Boulevard, 9th Floor, Flushing, New York 11373 Records Control (718) 595–3855
Cell # Form Field Name Help Text Does this equipment have an emission If emission control equipment is used, select “Yes”. If no emission 7A control? control equipment is used, select “No”. If the control equipment is part of the industrial equipment, select 7B Is the control part of the equipment? “Yes”. If the control equipment is a separate unit, select “No”. Select the type(s) of pollutant(s) that are controlled by the emission 7C Type(s) of pollutant(s) controlled control equipment. If “Other” is selected, list the name of the pollutant. Select the type(s) of emission control device(s) used at the facility. If 7D Emission Control(s) “Other” is selected, list the name of the control device. Provide a more detailed description of the emission control device(s). 7E Description of Control Device(s) For example, if “Filter” was selected, provide the filter material. List the name and CAS number of all contaminants emitted by this 7F Contaminant equipment.
FOR GENERAL INFORMATION, QUESTIONS, AND INQUIRIES: Please visit our website at www.nyc.gov/dep or call 311